Because it can be quicker / easier than having to browser through multiple directories each time (especially if you use a folder naming system - as many do).
Perhaps even being able to type multiple folder when useing "add from directory".
e.g.
I:\Master - Photos\40919-ab\residual\Simon 00101
I:\Master - Photos\40919-ab\residual\Simon 00115
I:\Master - Photos\40919-ab\residual\Jane 00111I\clinic\am
I:\Master - Photos\40919-ab\residual\Jane 00111I\clinic\pm